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2000, 05-22 Permit App 00004066 Porch, Dining RoomProject Number: 00004066 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RES ADD - FRONT PORCH & DINING ROOM Contact: CLEVEN, CHERYL M ADDITION Address: 11622 E BROADWAY AVE C - S - Z: SPOKANE, WA 99206-4913 Setbacks: Front Left: Right: Rear:. Phone: (509) 927-1909 Group Name: Site Information: Project Name: Plat Key: 001834 Name: OPP.TR. 1-354 District: F Parcel Number: 45164.0119 Block: Lot: SiteAddress: 11622 E BROADWAY AVE SPOKANE, WA USA 99206 Location:: SPO Zoning: UR-3.5 Urban Residential 3.5 Water District: 011 MODERN Area: 20,685 Sq Ft Width: 68 Depth: 320 Right Of Way (ft)>< 40 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Owner: Name: CLEVEN, CHERYL M Address: 11622 E BROADWAY AVE SPOKANE, WA 99206-4913 Review Information: Department BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: I J Pe �t conditions: EAL'1 ISTRICT Permits: Hold Reasons: Permit Conditions: Review Site Plan Review Plan Review Septic System Review By: 5.vL e orStc--Le r?- Hold: ❑ Date: 05/22/2000 Page 1 of 2 ere, Project Number: 00004066 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 000000 Const Category: Additi Nbr Of Dwellings: Bldg W x D: Req Parking: Description COV DECK RES ADD Inv: 1 Occupant Load: x Building Sq Ft: Handicap Parking: Grp R-3 R-3 Type Notes VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: JAS Permit Type Building Permit Notes: Date: 05/22/2000 Page 2 of 2 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics on Group: R-3 Type: VN Building Height: Sprinklers: ❑ Critical Materials: ❑ This Application: So Ft Valuation 162 $1,532.52 296 $18,352.00 Totals: 458 $19,884.52 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Printed By: JAS Print Date: Stories: 1 Total Project: Sq Ft Valuation 162 $1,532.52 296 $18,352.00 458 $19,884.52 Fee Amount $288.00 $4.50 $63.36 $355.86 05/22/2000 Fee Amount Invoice Amount Amount Paid Amount Owing $355.86 $355.86 $355.86 $355.86 $0.00 $355.86 $0.00 $355.86 ‘.) lie; I I r 1-;/ - cX 47-r- tit( flfT P 2 ; , lc/ bt,!! "-!! ; i ' ].• , , y",.. A‘,,,,7 _ ,... - 7 1 r 4. . . .{ This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easement: have been identified. Also indicated are wetlands, bodies of w er, steep slopes or other critical areas. Signed: 0 Date: